Physician Assistant, Medical
IVY HANSEN P.A.-C.
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1164755104 · enumerated 2009-09-09 · record updated 2009-09-09. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 2065 E 17TH ST, SUITE D, IDAHO FALLS, ID, 83404-8042 (208) 522-0747 Fax (208) 522-9641 Google Maps Apple Maps OpenStreetMap
- Practice location 2065 E 17TH ST, SUITE D, IDAHO FALLS, ID, 83404-8042 (208) 522-0747 Fax (208) 522-9641 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant, Medical 363AM0700X · Primary · License PA-814 ID
In this directory
ID Bonneville County Idaho Falls Physician Assistant, Medical
Locations and evidence
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Practice location
IDAHO FALLS, ID, 834048042
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.